Charla L Bouranis, MED, ATC
Specialist/Technologist, Athletic Trainer in Swampscott, Massachusetts
1669889325- Practice location
- 19 Lincoln House PT, Swampscott, MA 01907-2707
- Phone
- 781-854-1515
- Fax
- —
- Last updated
- July 15, 2014
Charla Larissa Bouranis is a Specialist/Technologist, Athletic Trainer based in Swampscott, MA. Charla Larissa Bouranis practices in Swampscott, MA and has the professional credentials of MED, ATC. The NPI Number for Charla Larissa Bouranis is 1669889325 and holds a License No. 1966 (MA). The current practice location address for Charla Larissa Bouranis is 19 Lincoln House PT, Swampscott, MA 01907-2707 and can be reached out via phone at 781-854-1515.
Provider Profile Details
- NPI Number
- 1669889325
- Provider Name
- Charla Larissa Bouranis
- Credential
- MED, ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19 Lincoln House PT, Swampscott, MA 01907-2707
- Phone Number
- 781-854-1515
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 15, 2014
- Last Update Date
- July 15, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Lincoln House PT
Swampscott, MA 01907-2707 - City
- Swampscott
- State
- Massachusetts
- Zip
- 01907-2707
- Phone Number
- 781-854-1515
Provider Business Mailing Address Details
- Address
- 19 Lincoln House PT
Swampscott, MA 01907-2707 - City
- Swampscott
- State
- MA
- Zip
- 01907-2707
- Phone Number
- 781-854-1515
License Information
- License Number
- 1966
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Charla L Bouranis, MED, ATC?
The NPI number of Charla L Bouranis, MED, ATC is 1669889325. It was assigned on July 15, 2014 and is currently active in the NPPES registry.
What is the specialty of Charla L Bouranis, MED, ATC?
Charla L Bouranis, MED, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 1966.
Where does Charla L Bouranis, MED, ATC practice?
The practice location is 19 Lincoln House PT, Swampscott, MA 01907-2707. The office can be reached at 781-854-1515 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669889325 directly on the NPPES registry website.